Will microneedling help with my pore size as a permanent solution? Or will this go away after a few months?

Thanks for your question – it’s a concern brought up by many of our patients. Pore geography and number  is genetic and can not permanently be altered, however the appearance of the pore size can be changed. As you know the pores in our face change as we age and much it is due to external factors such as the environmental damage and nutrition. Pores often look large due to two things: 1) they’re filled with dirt/oil and 2) overabundance of proprium acne bacteria, and 3) loss of elasticity. Microneedling can definitely help reduce the appearance of the pore size by helping to increase the collagen/elasticity of the skin and pores and we often recommend a series of treatments (3-5 sessions, 4-6 weeks apart), followed by yearly maintenance of 1-2 treatments in order to maintain your results. We combine our microneedling with RF (radio frequency) to stimulate at much collagen production as possible. We also like ot use multimodal therapy with use of fractional lasers for surface collagen stimulation, BBL intense pulse BLUE light therapy to decrease bacterial counts and hence sebum oil production, and finally sculptra injections for biostimulation of deeper level collagen production. I also recommend use a retinol product to help skin turnover and, as always, wear sunscreen every day!

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best,
Dr. Karamanoukian
Realself100 Surgeon

I am glad you got great results from your microneedling.  I recommend doing one or two treatments once a year after your initial series in order to maintain the results.  You should also make sure to always wear a good, physical block sunscreen (I like Elta MD) in order to prevent the sun from reversing the effects of your treatments.

Microneedling is a great solution to improving pore size, scars, wrinkles and collagen stimulation. I recommend three to four sessions and a touch up a couple of times a year because as we age we make less collagen.

Microneedling stimulates collagen and tightens pores.  As collagen ages it becomes looser and pores are more evident again.  Maintenance microneedling 3 to 4 times a year will continue to improve pores.  Retinols will also help.

This type of reaction is what we hear daily from our patients about microneedling. Microneedling is an excellent treatment that addresses so many skin issues and keeping the skin smooth and tight is one of them. By repeating microneedling treatments you will continue to see improvement in your skin. The pores will not go back to the way they were. Your skin can change and pores can enlarge, continuing treatments, keeping the skin exfoliated, stimulated, and using retinols will help prevent large pores.Best to you, Dr Faraz

Hi angelicai,That really sounds marvelous and is music to your Provider's ears. Be sure to let him/her know. Initial treatment with Microneedling will take about 3 sessions but maintenance treatments can be every 3-6 months.All the best, Justin Harper, M.D.

Pore sizing is genetic, microneedling especially with insulated RF can help reduce pore sizing, however a permanent solution to stop collagen loss and skin ageing is beyond the reach of medical science. Pores will return- some in one year, others in three to five. Highly dependent on genes and environmental factors. Microneedling is both user dependent and method driven. Simple needles can be used, growth factors can be added after the procedure, including PRP, or controlled heating during the procedure. This controlled heating is delivered via RF, and is called RF microneedling. RF can then be delivered via insulated or insulated needles. Even the energy level, depths, density, pulse duration and so many other variables can be controlled. This together with the added benefits of growth factor infusion makes this one of the most complex procedures in procedural dermatology. I use everything from Dermapen, though to newer generation insulated and non-insulated devices including INFINI micro-needling radiofrequency, Intensif and others. Newer generation devices can provide an added advantage in some, but not all patients. Like most procedures, its 80% skill level of the specialist and 20% dependent on the brand of the energy device- microneedling system. All the best, Dr Davin Lim. Brisbane. Australia.